Provider Demographics
NPI:1003963828
Name:KHAN, MUHAMMAD AMAR (MD)
Entity Type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:AMAR
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5506 S JACKSON RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-9902
Mailing Address - Country:US
Mailing Address - Phone:956-661-0066
Mailing Address - Fax:956-661-0071
Practice Address - Street 1:5506 S JACKSON RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-9902
Practice Address - Country:US
Practice Address - Phone:956-661-0066
Practice Address - Fax:956-661-0071
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM62272080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX205119501Medicaid